Bacteraemia following diagnostic and therapeutic ERCP

Thirty patients undergoing endoscopic retrograde cholangiopancreatography [ERCP] were studied. Blood samples were taken just before, 5 minutes after cannulation of the papilla and, 15 minutes after the end of examination. The samples were cultured for both aerobic and anaerobic organisms. Seven cases [23.3%] showed positive cultures. The isolated organisms in 4 of them were considered as normal commensals of the skin. While in 3 cases [10%], the organism, were considered pathogenic. We concluded that ercp is a safe procedure and not accompanied by bacteraemia except in the immunocompromised cases. Thus, the immunocompromised patients should be considered a high risk for the development of bacteraemia following ERCP. The use of prophylactic antibiotics is recommended before and after procedure in all immunodepressed patients and patients with chronic valvular diseases

Microbial flora associated with titanium plasma-sprayed [TPS] implants

The microbial flora associated with titanium plasma-strayed [TPS] implants thathave been in clinical use for over 5 years were identified and compared withmicrobial floral associated with completely edentulous, partially edentulousand completely dentulous subjects. The results of this investigationindicated that the microbial floral associated with the TPS implants weresimilar to the normal flora found in the oral cavity